32. A Pain in the Neck - Meningitis
The Intern At Work: Internal Medicine
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Introduction
Meningitis can be bacterial, including mycobacterial or tuberculosis. How bacteria and other microbes cross the blood-brain barrier is not well understood. The development of meningitis can result from one, bacterial colonization of the nasopharynx,. Two, CNS-seeding secondary to bacteremia, or three, direct entry of the organism into the brain through a contiguous infection.
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